Individual
MARK ANTHONY ROTELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4039 WALNUT AVE, EGG HARBOR TWP, NJ 08234-5836
(609) 277-1490
Mailing address
4039 WALNUT AVE, EGG HARBOR TWP, NJ 08234-5836
(609) 277-1490
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00306800
NJ
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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